The prevalence of pelvic organ prolapse and associated factors in Ethiopia: a systematic review and meta-analysis

Addisu, Dagne; Mekie, Maru; Belachew, Yismaw Yimam; Degu, Alemu; Gebeyehu, Natnael Atnafu

doi:10.3389/fmed.2023.1193069

Cited by 2 publications

References 48 publications

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Experiences of Indigenous peoples living with pelvic health conditions: A scoping review

Brown,

Choi,

Kim

et al. 2024

Preprint

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Background - Pelvic health conditions significantly impact quality of life and are prevalent in the general population. Urinary and fecal incontinence, pelvic organ prolapse, and pelvic pain are examples of pelvic health conditions. A scoping review was conducted to understand what is currently known about pelvic health conditions experienced by Indigenous populations worldwide. To date, no such review has been reported. Methods - A scoping review methodology was used. In June 2023, a search was conducted, and then updated in February 2024, capturing both primary and grey literature. An iterative process of abstract and full text screening was conducted by two reviewers before proceeding to data extraction. Inclusion criteria focused on English publications and reports of pelvic health conditions experienced by Indigenous peoples. Data was collected in Google Sheets, and then underwent descriptive statistical analysis. Publications that provided qualitative data were analyzed using thematic analysis. Results – A total of 203 publications were included in the analysis. Several patterns emerged regarding publication region, gender and age representation, pelvic health conditions reported, and representation of Indigenous peoples. Notable gaps were a lack of publications from China, Russia, and Nordic countries, minimal representation of gender diverse populations, few publications reporting on auto-immune and bowel conditions, and limited mention of trauma-informed and culturally safe approaches. Conclusions – This study highlights gaps in the current literature around gender representation, bowel and auto-immune conditions, regional representation, and the use of safety frameworks, which may inform future research initiatives. It also summarizes the existing literature, which may inform clinical and health system-level decision making.

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Experiences of Indigenous peoples living with pelvic health conditions: A scoping review

Brown,

Choi,

Kim

et al. 2024

Preprint

View full text Add to dashboard Cite

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Prevalence and risk factors of pelvic organ prolapse among women in Sidama region, Ethiopia: A community-based survey

Siyoum,

Nardos,

Teklesilasie

et al. 2024

Womens Health (Lond Engl)

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Background: Pelvic organ prolapse is a descent of the vaginal compartments and the surrounding organ due to loss of support of the vaginal tissue. It has a significant psychological, physical, and social impact that affects women’s quality of life. However, its true prevalence is unknown due to the variability in the methods used to diagnose the disorder. Objectives: This study aimed to determine the prevalence of pelvic organ prolapse and its associated risk factors among women in Sidama region, Ethiopia. Study design: A community-based cross-sectional survey was conducted in the Dale–Wonsho Health and Demographic Surveillance Site, Sidama region, from March to October 2023. Methods: A multi-stage stratified cluster sampling was used to select a sample of 816 women. Anatomical prolapse was diagnosed based on the standardized pelvic organ prolapse quantification method, and symptomatic prolapse was assessed by patient-reported symptoms. A complex survey-based modified Poisson regression was used to assess the risk factors associated with prolapse. Results: A total of 815 participated in the interview, and 779 (95.6%) underwent pelvic examination to assess for prolapse status. Anatomical prolapse (Stages II–IV) was observed in 241 (30.9%; 95% confidence interval = 24–38.7) of the participants. The prevalence of symptomatic pelvic organ prolapse was 78.5% (95% confidence interval = 69.1–85.7) among women with anatomical prolapse (189/241). This prevalence falls to 24.27% (95% confidence interval = 19.98–29.16) for the total sample population. Higher frequency of childbirth, prolonged heavy lifting activities, and prolonged labor increased the likelihood of developing anatomical prolapse. Childbirth at an early age and prolonged heavy lifting activities were significantly associated with symptomatic prolapse. Conclusion: Anatomical prolapse and symptomatic prolapse are high in the study area. Parity, prolonged heavy lifting, prolonged labor, and early age childbirth were associated with pelvic organ prolapse. Community-based education and interventions that focus on the modification of risk factors are needed.

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The prevalence of pelvic organ prolapse and associated factors in Ethiopia: a systematic review and meta-analysis

Cited by 2 publications

References 48 publications

Experiences of Indigenous peoples living with pelvic health conditions: A scoping review

Experiences of Indigenous peoples living with pelvic health conditions: A scoping review

Prevalence and risk factors of pelvic organ prolapse among women in Sidama region, Ethiopia: A community-based survey

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